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General NPI Number Information
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NPI Number | 1114367323
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Entity Type | Organization
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Legal Business Name | SONEXUS HEALTH
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 2730 EDMONDS LN STE 300
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City | LEWISVILLE
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State | TX
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Zip | 75067-6731
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Country | US
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Telephone | 972-608-7901
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 EDMONDS LN STE 300
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City | LEWISVILLE
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State | TX
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Zip | 75067-6731
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Country | US
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Telephone | 972-608-7901
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Fax |
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Authorized Official
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Title or Position | DIVISON PRESIDENT
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Name | JAN NIELSEN NIELSEN
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Credential | RN
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Telephone | 972-608-7901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 45-2992760
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License Number State | TX
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